Biliary reflux gastritis is usually treated based on the principles of acid suppression, gastric mucosa protection, and promotion of gastrointestinal motility. The actual drugs need to be chosen according to the patient’s specific situation. At the same time, the diet and lifestyle habits should be changed to control the condition. A, drug treatment: 1, inhibit gastric acid: acid inhibitors such as omeprazole, rabeprazole or lavatidine, cimetidine, etc., effectively inhibit the excessive secretion of gastric acid caused by the gastric mucosa irritation; 2, protection of the gastric mucosa: protection of the gastric mucosa drugs such as chewable tablets of magnesium aluminum carbonate, aluminum phosphate gel or colloidal bismuth capsules, etc., in the gastric mucosa to form a protective film to reduce bile or other drugs food damage to the gastric mucosa; 3. Promote gastrointestinal motility: promote gastrointestinal motility drugs such as mosapride, etopride hydrochloride, etc., to promote positive peristalsis of the gastrointestinal tract to control reflux; 4, antibiotics: for some patients with bacterial infection or intestinal flora disorders, such as combined with Helicobacter pylori infection, the need to combine the corresponding antibiotics to control the condition. Second, personal habits: 1, eating habits: not too much too full, should be a small number of meals. Try to avoid spicy stimulating or greasy food, such as pepper, onion, ginger, chili, fried chicken, hot pot, etc.; 2, habits: avoid staying up late, try not to eat late or do not eat 3-4 hours before bedtime, and should not lie down immediately after the meal, try to sit or stand, to prevent reflux intensification. Third, surgical treatment: drug treatment is ineffective and reflux symptoms are serious can be surgical treatment, commonly used bile duct jejunostomy or biliary shunt two types of surgery, you need to follow the doctor’s instructions to choose.